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Pediatría (Asunción)

versão On-line ISSN 1683-9803


MORILLA, Laura; MOREL, Zuny  e  PAVLICICH, Viviana. Clinical characteristics of pediatric patients with COVID-19 in an emergency department. Pediatr. (Asunción) [online]. 2020, vol.47, n.3, pp.124-131. ISSN 1683-9803.


The epidemiological and clinical patterns of COVID-19 infection remain unclear, especially among children.


To describe epidemiological and clinical aspects of COVID-19 cases treated in a Pediatric Emergency Department between March and September 2020.

Materials and Methods:

This was an observational, descriptive and retrospective study of a series of consecutive cases. Patients aged 0-18 years were included in a non-probability sampling. The variables analyzed were: demographic data, pediatric evaluation triangle, contact situation, symptoms, clinical picture, hospitalization, nutritional status, laboratory analysis and images. Data were analyzed in SPSS V21 using descriptive statistics


56 patients were admitted. 37.5% were under 2 years old and 32% had comorbid conditions. 51.8% were hospitalized. The median time of hospitalization was 48 (P25 6- P75 90) hours. The predominant clinical picture was lower airway infection. 9% presented severe or critical symptoms, and 5.4% were admitted to intensive care. There was 1 deceased patient, who had severe comorbidities. The PCR was performed with a median of 4 days (min. 0 max. 10) of symptom onset


More than a third of the patients with Covid -19 were under 2 years of age and 32% had a comorbidity. The clinical picture was mild in 70% of the cases, although more than half were hospitalized and 5.4% were admitted to intensive care. The most frequent clinical presentation was upper airway involvement followed by pneumonia. One patient with severe comorbidities died.

Palavras-chave : COVID-19; children; emergency.

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